Traci Ann Moore LPN

NPI 1225392574 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1225392574
Gender Female
Enumeration Date 07/02/2012
Last Updated 07/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5278 SOUTHWESTERN BLVD
UNIT 904
HAMBURG NY, 14075-8000, US
Phone (716) 649-8375
Fax
Business Location
5278 SOUTHWESTERN BLVD
UNIT 904
HAMBURG NY, 14075-8000, US
Phone (716) 649-8375
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 10244744
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According to our database, Miss Traci Ann Moore LPN NPI is 1225392574, taxonomy code is 164W00000X and license number is 10244744, license state is located at New York. Traci Ann Moore LPN physically located at 5278 Southwestern Blvd, Hamburg NY, 14075-8000. NPI Number Traci Ann Moore LPN has the Individual type.

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1225392574 NPI number is provided on an as is basis without warranty of any kind. 1225392574 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Ann Moore LPN are for informational purposes only.